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1205184223
CHAD W EICKHOFF
LOUISVILLE, KY
NPI
1205184223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002140)
Enumeration Date
2012-08-23
Last Update Date
2012-08-23
Business Address
-- CHAD W EICKHOFF P.T.A
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
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Mailing Address
-- CHAD W EICKHOFF P.T.A
6279 AMBER LN
GRAND BLANC, MI 48439-7816
Phone number: 810-730-5748
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